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Individual

SHEILA JENSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1600 A ST STE 200, ANCHORAGE, AK 99501-5147
(907) 272-2423
(907) 272-2428
Mailing address
4424 E BIRCH DR, WASILLA, AK 99654-4510
(907) 357-8124

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
195
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020257499
ACA ENERGY EMP GROUP#
AK
05
1030921
AK
01
193975000
ACA FED DOL#
AK
01
CI9459
ACA GROUP RR MCR #
AK
01
K151896
MEDICARE AK
AK
01
P00098550
RR MEDICARE
AK
01
P00435944
RR MEDICARE
WA
Enumeration date
05/31/2006
Last updated
12/14/2020
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